Centre on Behavioral Health, The University of Hong Kong, HKSAR, China.
Am J Chin Med. 2012;40(6):1143-56. doi: 10.1142/S0192415X1250084X.
The objective of this review was to summarize and critically evaluate the clinical evidence of the effect of qigong exercise on immunity and its efficacy in the prevention or treatment of infectious diseases. Thirteen databases were searched from their respective inceptions through January 2011, and all controlled clinical trials of qigong exercise on immunity and infections were included. Quality and validity of the included studies were evaluated using standard scales. Seven studies including two randomized controlled trials (RCTs), two controlled clinical trials (CCTs) and three retrospective observational studies (ROSs) met the inclusion criteria. One study focused on functional measures of immunity (antigen-induced immunity) and six studies on enumerative parameters of immunity. No study on clinical symptoms relevant to infectious diseases could be identified. Overall, the included studies suggested favorable effects of qigong exercise on immunity, but the quality of research for most of the studies examined in this review was poor. Further rigorously designed studies are required, which should adhere to accepted standards of methodology for clinical trials.
本次综述的目的是总结和批判性评估气功锻炼对免疫的影响的临床证据及其在预防或治疗传染病方面的功效。从各自的创建开始,我们检索了 13 个数据库,纳入了所有关于气功锻炼对免疫和感染的对照临床试验。使用标准量表评估纳入研究的质量和有效性。符合纳入标准的研究有 7 项,包括 2 项随机对照试验(RCT)、2 项对照临床试验(CCT)和 3 项回顾性观察研究(ROS)。有 1 项研究侧重于免疫的功能测量(抗原诱导免疫),6 项研究侧重于免疫的计数参数。没有发现与传染病相关的临床症状的研究。总的来说,纳入的研究表明气功锻炼对免疫有有利影响,但本综述中检查的大多数研究的研究质量较差。需要进一步设计严格的研究,这些研究应遵循临床试验公认的方法学标准。